VHMA

Educational Program Proposal Submission

INSTRUCTIONS

In addition to the completing this form, please submit the following information to the VHMA office via email or mail (speaker/program information must be in typewritten form): a speaker biography, speaker credentials, speaking experience and publications; a detailed program outline or summary and copies of teaching aids, i.e. handouts and/or presentation slides. Proposals submitted without this information will not be reviewed.

You may make multiple selections in the pull-down menus by holding the Ctrl Key and highlighting your selections.

Speaker Name *

Title *

Company *

Business Address *

City *

State *

Zip/Postal Code *

Phone Number *

Fax Number

Email Address *

Website

VHMA Conference Preference *

VHMA Conference Year *

Program Title *

Topic Area *

Targeted Audiance *

Program Level *

Length of Lecture *

Teaching Strategies (lecture, demonstration, slide/overhead or PowerPoint presentation, etc.) *

Click on this address to submit your additional speaker and/or program information via email to admin@vhma.org. Identify in the field below how and what you will be sending to the VHMA office.

Please identify how (email or mail) and what (information and type of files) you will be forwarding to the office. *

Please enter the text from the image above:

Veterinary Hospital Managers Association, Inc.
PO Box 2280 Alachua, FL 32616-2280
Phone: (877) 599-2707 | (518) 433-8911 | Fax: (888) 795-4520
admin@vhma.org